Background: Echocardiography has become and important tool in medical imaging. It is used in the confirmation of heart diseases especially hypertension, in Nigeria major cities using conventional echocardiography done with transoephageal echocardiography.

Aim: To describe the pattern of finding in echocardiogram of hypertensive patients in Conquest Medical Imaging Centre, Enugu.

Patient and method: a retrospective study of reports of patients who underwent echocardiography in Conquest Medical Imaging Centre between January 2011- December 2012 was conducted.

Result: The frequency of male referred for echocardiography for hypertension was significantly more than female (58%) 42%; P